06-3473 (RPL),. • i' / r c bra• .
P-�--Y:O. 'BOX 1504 ^' VOICE (760) 777-7012
TA 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 • BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 77777153
BUILDING PERMIT
- Date: 9/27/06
Application Number: Z06-00003473 1► Owner:
Property Address: 80111 VIA PESSARO CARY RANEY
APN: 772-550-025- - 18797 VISTA DE MONTANAS p ��
Application description: POOL RESIDENTIAL t MURRIETA, CA 92562
1
-Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 24225 h v
D Contractor: Ort
Applicant: Architect or Engineer: p Owner
`ITS
f 006 FIP'
OCT 0 3 Z
LA ---- ---------------- -.--f-----
CITY OF ®UIN7A
FINANCE DEPT.
,.- ------------------ ---------------------.------------------------------ ------------------------------
"�t• ° LICENSED CONTRACTOR'S DECLARATION - WORK ER'S.COMPENSATION DECLARATION -
+ i -A - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing. with - I hereby affirm under penalty'of perjury one of the following declarations: Y
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - . _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: License No.: + for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
�t Date: Contractor: - _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is'issued. My workers' compensation
OWNER -BUILDER DECLARATION ' insurance carrier and policy number are: -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier Policy -Number
i' following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in anymannerso as to become subject to the workers' compensation laws of California, „
��. permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor -Code, 1 hall forthw' mply with those provisions.
•. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by "
;. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ' Date: 10: leant:
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
- the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WOR S COMPENSATI COVERAGE IS UNLAWFUL, AND SHALL -
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN VIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sate. If, however, the building or improvement is sold within s SECTION 3706 OF THE LABOR CODE, INTEREST,"AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build or -
improve for the purpose of sale.).- - ' - APPLICANT ACKNOWLEDGEMENT
1) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of - conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I am exempt under Sec. , B.&P.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following. issuance of this permit:
ate: wner: - ' 2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuanceof permit, or cessation of work for 180 days will subject
C • TRUCTIO NG AGENCY per to cancellation.
• 51 hereby affirm under penalty of perjury that there is a construe n lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all ,
` r work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this cou o "nter upon the above-mentioned property or inspectio ar o -
Lender's Name: �
e: /J //'� nature (Applicant or Agenq
Lender's Address: , t
{'
LQPERMIT .r
Application Number
. . . 06-00003473
Permit
BLDG POOL PERMIT
Additional desc .
Permit Fee
.252.00 Plan Check Fee
163.80
Issue Date . . . .
Valuation
24225
Expiration Date
3/26/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit ..
MECH POOL
Additional desc .
Permit Fee . . . ..
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
0
Expiration Date
3/26/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
Permit . . .
ELEC POOL PERMIT -RES
Additional desc .
Permit Fee . . . .
45.00 Plan Check Fee
11.25
Issue Date
Valuation
0
Expiration Date
3/26/07
Qty Unit Charge
Per
Extension
-BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA- ELEC PRIVATE SWIMMING POOL
30.00
Permit
PLUMBING
Additional desc .
Permit Fee . . ..
33.00 Plan Check Fee
8.25
Issue Date . . . .
Valuation
-0
Expiration Date
3/26/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . .'. . .
WALL/FENCE PERMIT
LQPEn11T
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1
Application Number 06-00003473
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . - - 63.00
Plan Check
Fee
.00
Issue Date
Valuation
3775
Expiration Date.. 3/26/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
Special Notes and Comments
POOL/SPA, 151 L.F. GARDEN WALL, CITY
"IN
STANDARD. ALARMS/BARRIERS SHALL BE
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee ,summary Charged Paid
Credited
Due
Permit Fee Total 419.00
.00
.00'
419.00
Plan Check Total 189.80
.00
.00
189.80
Grand Total 608.80
..00
.00
608.80'
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veneer on sides & colored
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Raised Spa
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and integral Davis color Lakeside Brown".
' 15" pilaster \� /
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Infinity edge Pool x'
Water weir at grade
Pool bench seat
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veneer on sides & coored
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